PTE 722: exam 1

**found from a quizlet**

Mr. Jones arrives at your physical therapy clinic for evaluation and treatment of a lateral left ankle sprain. He states that he was injured when he tripped over his dog about 7 days ago. Mr. Jones is most likely in what phase of healing?

proliferation phase

superficial wounds that are sutured, such as a lesion that results from surgery or a cut with a sharp knife:

heal by primary intention

list the five cardinal signs of inflammation

1.redness

2.swelling

3.heat

4.pain

5.loss of function

the shape of wound that heals most slowly by wound contraction is:

circle shape

bone goes through a series of distinct stages in the healing process. The correct order of these stages is:

1.induction

2.inflammation

3.soft callus

4.hard callus

5.remodeling

when treating a patient with a surgically repaired tendon it is important to consider the healing properties of tendon. Which of the following would be the most appropriate treatment of a patient with surgically repaired flexor tendons of the hand?

mechanical stress through PROM is necessary to promote orientation of collagen and its remodeling into mature form

liist and label one local factor, one external factor, and one systemic factor that can impact the healing process and indicate how or why this factor may impact healing.

-local factor could be poor blood flow to the area which could delay the healing process,

-external factor could be compression of the area which could allow the collagen fibers to realign

-systemic factor could be a person's medical history including autoimmune disorders that could impact the healing process and make them more susceptible to diseases

T or F: prostaglandins are thought to be responsible for desensitizing pain receptors

F

during your first clinical internship, you are completing an examination of a 59 year-old patient with left shoulder pain. He is unable to describe a specific incident that caused his pain. He states that his pain increases during his daily 2-mile walk with his wife. You are unable to recreate his pain with provocative testing of the left shoulder. A possible explanation for his c/o pain would be:

referred pain from cardiac ischemia

Which pharmacological agent is typically not used to reduce pain?

antidiarrheals

T or F: physical agents may control pain by completely blocking nociceptive transmission

F

Elevated levels of substance P are associated with ____ sensation of pain.

increased

Which of the following is the most appropriate tool for localizing the location and nature of a patient's symptoms?

body diagram

Which tool is most appropriate for quickly estimating a patient's perceived progress or change in severity of symptoms over time?

visual analog scale (VAS)

what three factors do multidisciplinary pain treatment programs focus on?

1.teaching the patient coping skills

2.increasing physical activity

3.involving the patient's family

what’s the difference between acute and chronic pain?

-acute pain has a shorter duration where the patient may be in pain for a few days-6 months. pain is more localized

-chronic pain has a longer duration where pain may persist for 6 months to years. pain is usually radiating/ not local

T or F: acetaminophen is considered a non-steroidal anti-inflammatory drug.

F

T or F: a muscle’s passive resistance to stretch best defines muscle tone.

T

_____ best describes a paralyzed muscle with no resistance to stretch?

flaccid

Under which circumstance does a muscle have the greatest potential to generate force?

when a joint is in mid-range and actin and myosin are overlapping

Which receptor monitors tension and the force produced by muscle contraction via Ib sensory neurons?

golgi tendon organ

A patient with Parkinson's disease is likely to have which of the following?

rigidity

T or F: slow repetitive rocking is likely to cause an increase in muscle tone.

F

Which of the following can cause low muscle tone by mechanisms other than alpha motor neuron damage?

cerebral vascular accident

Your patient recently injured his right shoulder while playing tennis. Manual muscle testing of the right supraspinatus muscle reveals 4+/5 strength with c/o pain. A strong force with pain on resisted muscle testing indicates:

a minor structural lesion of the musculotendinous unit

A therapist is attempting to place a child with cerebral palsy into a wheelchair. When the therapist attempts to position the child's feet onto the footrest by dorsiflexing the child's ankles, her ankle plantar flexors begin to shorten in multiple rhythmic beats. Which statement is likely to be recorded in the therapist's notes for this session?

patient has clonus involving plantar flexors

Clinically relevant consequences of decreased muscle tone include:

shoulder subluxation

What mode of heat transfer does NOT require an intervening medium other than air?

radiation

A patient being treated with cryotherapy is most likely to experience what sequence of sensations?

-intense cold

-burning

-aching

-analgesia (numbness)

what effect does heat have on muscle strength?

decreases muscle strength directly following the application of heat

when would the application of a controlled cold compression pump be most appropriate?

following a surgical repair of the supraspinatus tendon

what treatment scenario will prove most effective for increasing muscle length?

application of heat before and during stretching

during conduction, heat is transferred:

until both the physical agent and the superficial tissues are of equal temperatures

a physical therapist observes a patient's skin shortly after applying moist heat to the low back. The therapist observes the following signs of heat intolerance: uneven blotching and a surface rash. The MOST appropriate action is to:

discontinue treatment and document the findings

a physical therapist prepares to apply a hot pack to the low back of a patient diagnosed with degenerative disk disease. When examing the patient, the therapist notices several blisters on the patient's right side. The patient indicates that they were caused by heat from a previous treatment session and that he was hesitant to tell the therapist that the heat was too intense. The MOST appropriate therapist action is to:

complete an incident report

what method of applying cryotherapy has been found to be MORE effective for controlling swelling, pain, and blood loss after knee surgery?

cold compression unit

a patient (supine position) is receiving superficial heat delivered by a hot pack. Which of the following is the MOST appropriate padding between the hot pack and patient?

a hot pack cover and 4 layers of dry towels